Abstract

This systematic review aimed to examine the preferences and experiences of family members who had witnessed cardiopulmonary resuscitation.

Electronic searches were performed on Cochrane, JBI, Ovid, PubMed, Scopus, and Web of Science. We included studies conducted among adult patients and family members that were published in peer-reviewed journals in English between 2013-2018. The studies were summarized by the researchers independently. Then, the summaries were compared, and a consensus was established among the researchers. A total of nine studies were included. Family members expressed that they wanted to witness the cardiopulmonary resuscitation and expected to have that decision respected by healthcare professionals. Although the number of studies were limited, family members who had witnessed cardiopulmonary resuscitation experienced less anxiety, depression, post-traumatic stress, and grief. Further comparison studies are needed to identify the positive and negative experiences of family members who witnesss cardiopulmonary resuscitation.

Keywords: Family witnessed resuscitation, family presence, family members’ preferences, family members’ experiences

References

  1. Leske JS, McAndrew NS, Brasel KJ. Experiences of families when present during resuscitation in the emergency department after trauma. J Trauma Nurs 2013;20:77-85.
  2. Brasel K, Entwistle J, Sade RM. Should family presence be allowed during cardiopulmonary resuscitation? Ann Thorac Surg 2016;102:1438-43.
  3. Powers KA. Barriers to family presence during resuscitation and strategies for improving nurses’ invitation to families. Appl Nurs Res 2017;38:22-8.
  4. Millenson ML, Shapiro E, Greenhouse PK, DiGioia III AM. Patient-and family-centered care: a systematic approach to better ethics and care. AMA J Ethics 2016;18:49-55.
  5. Oczkowski SJW, Mazzetti I, Cupido C, Fox-Robichaud AE. Family presence during resuscitation: A Canadian Critical Care Society position paper. Can Respir J 2015;22:201-5.
  6. Cypress BS, Frederickson K. Family Presence in the Intensive Care Unit and Emergency Department: A Metasynthesis. J Fam Theory Rev 2017;9:201-18.
  7. Monsieurs KG, Nolan JP, Bossaert LL, Greif R, Maconochie IK, Nikolaou NI, et al. European resuscitation council guidelines for resuscitation 2015 section 1. Executive summary. Resuscitation-Limerick, 1972, currens. Resuscitation 2015;95:1-80.
  8. Sak-Dankosky N, Andruszkiewicz P, Sherwood PR, Kvist T. Integrative review: nurses’ and physicians’ experiences and attitudes towards inpatient-witnessed resuscitation of an adult patient. J Adv Nurs 2014;70:957-74.
  9. Tomlinson KR, Golden IJ, Mallory JL, Comer L. Family presence during adult resuscitation: a survey of emergency department registered nurses and staff attitudes. Adv Emerg Nurs J 2010;32:46-58.
  10. Itzhaki M, Bar‐Tal Y, Barnoy S. Reactions of staff members and lay people to family presence during resuscitation: the effect of visible bleeding, resuscitation outcome and gender. J Adv Nurs 2012;68:1967-77.
  11. Powers KA. Educational Interventions to Improve Support for family presence during resuscitation: A Systematic review of the literature. Dimens Crit Care Nurs 2017;36:125-38.
  12. Johnson C. A literature review examining the barriers to the implementation of family witnessed resuscitation in the Emergency Department. Int Emerg Nurs 2017;30:31-5.
  13. Porter JE, Cooper SJ, Sellick K. Family presence during resuscitation (FPDR): Perceived benefits, barriers and enablers to implementation and practice. Int Emerg Nurs 2014;22:69-74.
  14. Sak-Dankosky N, Andruszkiewicz P, Sherwood PR, Kvist T. Integrative review: nurses’ and physicians’ experiences and attitudes towards inpatient-witnessed resuscitation of an adult patient. J Adv Nurs 2014;70:957-74.
  15. Sackett DL. Evidence-based medicine. Seminars in Perinatology 1997;21:3-5.
  16. Jabre P, Tazarourte K, Azoulay E, Borron SW, Belpomme V, Jacob L, et al. Offering the opportunity for family to be present during cardiopulmonary resuscitation: 1-Year assessment. Intens Care Med 2014;40:981-7.
  17. Jabre P, Belpomme V, Azoulay E, Jacob L, Bertrand L, Lapostolle F, et al. Family presence during cardiopulmonary resuscitation. N Engl J Med 2013;368:1008-18.
  18. Leske J, McAndrew N, Brasel K, Feetham S. Family presence during resuscitation after trauma. J Trauma Nurs 2017;24:85-96.
  19. De Stefano C, Normand D, Jabre P, Azoulay E, Kentish-Barnes N, Lapostolle F, et al. Family Presence during Resuscitation: A qualitative analysis from a national multicenter randomized clinical trial. PloS One 2016;11:e0156100.
  20. Sak-Dankosky N, Andruszkiewicz P, Sherwood PR, Kvist T. Preferences of patients’ family regarding family-witnessed cardiopulmonary resuscitation: A qualitative perspective of intensive care patients’ family members. Intensive Crit Care Nurs 2019;50:95-102.
  21. Giles T, de Lacey S, Muir-Cochrane E. Factors influencing decision-making around family presence during resuscitation: a grounded theory study. J Adv Nurs 2016;72:2706-17.
  22. Zali M, Hassankhani H, Powers KA, Dadashzadeh A, Ghafouri RR. Family presence during resuscitation: A descriptive study with Iranian nurses and patients’ family members. Int Emerg Nurs 2017;34:11-6.
  23. Dwyer TA. Predictors of public support for family presence during cardiopulmonary resuscitation: A population based study. Int J Nurs Stud 2015;52:1064-70.
  24. Kaakinen JR, Coehlo DP, Steele R, Robinson M. Family health care nursing: Theory, practice, and research. 6th edition. United States: FA Davis; 2018.
  25. Leske JS, McAndrew NS, Brasel KJ, Feetham S. Family presence during resuscitation after trauma. J Trauma Nurs 2017;24:85-96.
  26. Yavuz M, Dikmen BT, Altınbaş Y, Aslan A, Karabacak Ü. Opinions for family presence during cardiopulmonary resuscitation in Turkey: A literature review. Turk J Intensive Care 2013;4:13-7.
  27. Erbay H. Family presence and audience effects on cardiopulmonary resuscitation: perceptions of pre-hospital emergency caregivers in Turkey. https://t.co/rmdr4Da8qt Preprint doi: https://doi.org/10.1101/2020.01.21.20017988
  28. Duran CR, Oman KS, Abel JJ, Koziel VM, Szymanski D. Attitudes toward and beliefs about family presence: A survey of healthcare providers, patients’ families, and patients. Am J Crit Care 2007;16:270-80.
  29. Twibell RS, Siela D, Riwitis C, Wheatley J, Riegle T, Bousman D, et al. Nurses’ perceptions of their self-confidence and the benefits and risks of family presence during resuscitation. Am J Crit Care 2008;17:101-11.
  30. Çelik C, Celik GS, Buyukcam F. The witness of the patient’s relatives increases the anxiety of the physician, but decreases the anxiety of the relatives of the patient. Hong Kong J Emerg Med 2019:1-7.
  31. Clark AP, Aldridge MD, Guzzetta CE, Nyquist-Heise P, Norris M, Loper P, et al. Family presence during cardiopulmonary resuscitation. Crit Care Nurs Clin 2005;17:23-32.

Copyright and license

Copyright © 2020 The Author(s). This is an open access article distributed under the Creative Commons Attribution License (CC BY), which permits unrestricted use, distribution, and reproduction in any medium or format, provided the original work is properly cited.

How to cite?

1.
Karaçay P, Doğu Ö. Preferences and Experiences of Family Members Witnessing Cardiopulmonary Resuscitation: A Systematic Review. Turk J Intensive Care. 2020;18(4):171-180. https://doi.org/10.4274/tybd.galenos.2020.02886